摘要
目的探讨重度颅脑损伤的麻醉处理方法。方法回顾性分析2014年11月~2015年10月在我院进行治疗的重度颅脑损伤患者32例的麻醉处理方法及效果。结果 32例患者麻醉诱导平衡,无呛咳、严重低血压、躁动等现象,各项生命体征相对平稳,明显优于术前,差异有统计学意义（P〈0.05）。术前呼吸正常、意识存在的患者,术后无呕吐、恶心等不良反应发生;手术伤情较重且意识不清的患者,手术结束后仍存在意识障碍,保留气管插管或行气管切开。手术期间无患者死亡,术后1例多器官功能衰竭而死亡。1例病情过重或合并伤严重,抢救无效死亡。结论麻醉药物及麻醉方法的选择对重度颅脑损伤的救治至关重要。
Objective To explore the Anesthetic management of 32 patients with severe craniocerebral injury. Methods Retrospective analysis 32 cases of patients with the treatment method and effect of anesthesia. from November 2014- October 2015 for the treatment of severe craniocerebral injury in our hospital. Results 32 cases of patients with induction of anesthesia balance, had no cough, severe hypotension, restlessness and other phenomena, The vital signs were relatively stable, and the difference was statistically significant（P 0.05）. Preoperative normal breathing, consciousness of the patients with no adverse reactions such as nausea, vomiting after operation; no patients died during surgery, postoperative multiple organ failure and death in 1 cases. Conclusion The choice of anesthetic drugs and anesthetic methods is very important for the treatment of severe brain injury.
出处
《中国医药科学》
2016年第4期43-45,共3页
China Medicine And Pharmacy
基金
广西卫生厅自筹经费科研项目(z2014382)
广西壮族自治区临床重点专科建设项目经费资助(桂卫医发〔2015〕5号)
关键词
重度颅脑损伤
麻醉处理
芬太尼
丙泊酚
Recombinant human brain natriuretic peptide
Acute myocardial infarction
Pump failure
Nitroglycerin
